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Robotic enucleation of adrenal masses: technique and outcomes

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World Journal of Urology Aims and scope Submit manuscript

A Letter to the Editor to this article was published on 03 January 2021

Abstract

Objectives

To evaluate the feasibility and safety of the application of robotic enucleation of adrenal masses (REAM).

Methods

Thirteen patients at Shanghai Changhai Hospital who underwent robotic enucleation of adrenal mass from February 2017 to March 2018 were reviewed. After mobilizing the adrenal gland and clamping the feeding blood vessels, the tumor was enucleated and reconstruction was performed. Relevant clinical data were recorded including baseline patient and tumor characteristics, and perioperative outcomes (operating time, ischemic time, estimated blood loss, complications, and so on).

Results

All cases were successfully completed without conversion to total adrenalectomy or open surgery. The mean operative time was 75 min (range 60–95), with a mean warm ischemia time of 12 min (range 8–17). The estimated blood loss was 20 mL (range 10–50). No intraoperative complications were observed, and no steroid replacement was given post-operatively. After a median follow-up period of 12 months (range 9–15), no evidence of disease recurrence was detected.

Conclusions

Robotic enucleation of adrenal masses is a safe and feasible procedure with excellent short-term functional and oncologic outcomes. Steroid supplementation is not necessary and recurrence is not usual with limited follow-up. Long-term follow-up and larger studies should be conducted to further evaluate outcomes of this robotic adrenal-sparing approach.

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Author notes

  1. Chen Ye and Yue Yang contributed equally to this paper.

Authors and Affiliations

  1. Department of Urology, Shanghai Changhai Hospital, the Second Military Medical University, 168 Changhai Road, Yangpu District, Shanghai, 200433, China

    Chen Ye, Yue Yang, Fei Guo, Fubo Wang, Chao Zhang & Bo Yang

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  1. Chen Ye
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  2. Yue Yang
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  3. Fei Guo
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  4. Fubo Wang
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  5. Chao Zhang
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Contributions

CY: protocol development and manuscript writing; YY: data collection and manuscript writing; FG: data collection and data analysis; FW: data analysis; HW: data management; ZC: protocol development and manuscript writing; YB: protocol development and manuscript editing.

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Correspondence to Chao Zhang or Bo Yang.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Ye, C., Yang, Y., Guo, F. et al. Robotic enucleation of adrenal masses: technique and outcomes. World J Urol 38, 853–858 (2020). https://doi.org/10.1007/s00345-019-02868-7

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  • DOI: https://doi.org/10.1007/s00345-019-02868-7

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